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ED 443 512 

PS 028 492 






Netherlands Institute of Care and Welf are/NIZW : Source of 
Knowledge and Inspiration. 

Netherlands Inst, of Care and Welfare, Utrecht. 



NIZW Publishing Department, P.O. Box 19152, 3501 DD Utrecht, 
The Netherlands. Tel: 31-30-230-6604/607; Fax: 
31-30-230-6491; e-mail: 

Reports - Descriptive (141) 

MF01/PC01 Plus Postage. 

*Child Health; *Child Welfare,* *Children; Day Care,* Foreign 
Countries; Intervention; Organizations (Groups); 
Philanthropic Foundations; Prevention; Program Descriptions; 
*Public Policy; *Social Action; Social Planning; Social 
Problems; Unemployment 


Playing an important role in developing new social policies 
and introducing new methods, the Netherlands Institute of Care and Welfare 
(NIZW) is an independent foundation funded by a combination of private and 
public monies to conduct research and to develop and implement programs in 
five areas: (1) care and nursing; (2) organization of care; (3) youth care 

and welfare; (4) social policy; and (5) information and infrastructure. The 
NIZW care *nr:d nursing programs focus on: { 1 ) home care, especially developing 

models for perception-oriented care, psychosocial problems of the chronically 
ill, and transfer of nursing home care; (2) family care, especially for 
families of chronically ill children; and (3) the use of volunteers, 
specifically developing a balanced volunteer policy and training programs. 
Organization of care efforts include experiments in community care, 
employment for individuals with disabilities, and policy development. Youth 
care and welfare programs include innovations in child day care and 
out-of -school care, prevention and early intervention programs, and curative 
youth care. Social policy efforts focus on developing tools with which 
municipalities and institutions can map the broad outlines of district and 
neighborhood social structures and for use in evaluation and as a basis for 
decision making as well as the implementation of pilot projects to improve 
the quality of life in local neighborhoods. The NIZW also houses four centers 
providing information and organization services in the care and welfare 
sectors. (KB) 

Reproductions supplied by EDRS are the best that can be made 
from the original document. 

[Motherlands Institute ©f Care and Welfare / 



urce of knowledge 
d inspiration 




Office of Educational Research and Improvement 

Xf This document has been reproduced as 
/'received from the person or organization 
originating it. 

□ Minor changes have been made to f 

improve reproduction quality. j 

• Points of view or opinions stated in this 
document do not necessarily represent 
official OERI position or policy. 

9" ;• - 
• 1 : • 


E - V Vvr uSreVA 



nyone in the Netherlands 
looking for expertise in the 
fields of care, welfare and 
health care has come to the right place 
at the Netherlands Institute of Care and 
Welfare (NIZW). The NIZW is not in the 
Hague, where the government and the 
ministries are located, nor in 
Amsterdam or Rotterdam, where social 
change usually first becomes visible, but 
in Utrecht, the centrally located fourth 
city of the Netherlands. 

Utrecht has the problems of any other 
large city Even during the five-minute 
walk from the train to the NIZW offices, 
it can be seen that not everyone is 
enjoying the benefits of the economic 
growth of the nineties. Between the 
shoppers and the stream of commuters, 
the homeless try to earn their keep by 
selling street papers or making music. 
Others rummage through the refuse 
containers of the shops at night, hoping 
to find something to their liking. It is 
not for nothing that the care for 
vagrants and the homeless has become 
one of NIZW's activities in addition to a 
variety of other initiatives that promote 
the social integration of groups who, 
for various reasons, have missed or are 
in danger of missing the connection 
with mainstream society. 

O 0 


Social developments in the 


Participation and social cohesion 

Underthe influence of the decentralization 
of government policy, many local institutions 
in the fields of care and welfare have over 
recent years developed plans and 
formulated policies, in consultation with 
municipal authorities, in order to help 
integrate into society those groups that wish 
to do so. In close collaboration with the 
professionals on the job, the NIZW plays an 
important role in developing new policies 
and introducing new methods. 

By means of regulations and projects, the 
social services of local municipalities are 
trying to activate the long-term unemployed 
and, if possible,re-establish them on the 






labour market. Drawing on the long history 
of welfare work, the NIZW puts forward 
ideas, and researches and describes what is 
being experienced in various places in the 

In order to prevent people from becoming 
marginalized, the social participation of the 
elderly and of black and minority ethnic 
groups in the Netherlands is also receiving 
increasing attention. People with a handicap 
or a chronic disorder should become less 
dependent on how services are organized 
for them and have more opportunities for 
determining their own lives. This striving for 
the 'socialization of care' implies that 
institutions involved in care, housing, 
education, employment and leisure activities 
should work more flexibly. In the future, the 
professionals will offer their services as much 
as possible in those places where people 
with impairments want them, without 
detracting from the expertise that has been 
built up over the years. The NIZW supports 
professional care 
providers, volunteers 
and family caregivers in 
realizing this ideal. 
'Working integrally' is 
the creed of the 
nineties in the 

Institutions that set out 
the policy for a specific 
target group or a 
defined working area 
now have to work more 
closely together and 
gear their activities 
more to the needs of 
clients. From 'supply- 

The Netherlands in figures 

Size of population: 15.75 million 
Life expectancy: 77.5; men 74.7, women 80.4 
Ethnic division: 91% born in the Netherlands, 
1.9% in other EU countries, 1 . 2 % in the former 
Dutch East Indies/Indonesia, 1.1% in Surinam, 
0.5% in Turkey, 0 . 6 % in Morocco, 0.5% in the 
Netherlands Antilles and Aruba, 3.2% in other 

Gross national product: 302.9 billion Euro 
Unemployment percentage: 5.2% (1997) 
Economic characteristics: highly developed and 
prosperous, based on private enterprise with a 
regulatory government 

orientated to demand-dictated' is an 
important policy goal that has turned 
everything upside down for many 
institutions in recent years. The NIZW is 
trying to guide this change in the right 

The client should always come first, also in 
the care and welfare sector. A multicultural 
approach must become a matter of course in 
the work of all institutions. By means of 
experiments the NIZW is stimulating paid 
staff and volunteers to implement these 
concepts in their daily practice. 


The role of the NQZW 


Youth care 

As a result of the increased job market 
participation of women, the need for day 
care for children and young people outside 
the home has increased as well. As in other 
countries, many people find the quality of 
upbringing, education and childcare 
important. Early detection of developmental 
and behavioural problems is becoming 
increasingly important. The NIZW supports a 
wide range of services in the development of 
new forms of after-school day care and 
parenting support for a broad target group. 
Moreover, it also introduces specific methods 
for intervening in crisis situations and 
avoiding the need to place children outside 
the home as far as possible. 

Children and young people in the densely 
populated Netherlands are increasingly 
demanding their own place in the public 
domain. The focus on youth participation has 
received a new impulse, because involving 
children and young people can contribute to 
their social competence and the social 
cohesion in districts and neighbourhoods. At 
the same time there is heated public debate 
on the sense of values and the feeling of 
responsibility among young people. This is 
due to the increase in violent incidents at 
schools, in night life, and in the streets. 
Influenced by this, the call for more severe 
punishment for minors has increased in 
recent years. The NIZW is looking for 
constructive solutions in this area of tension. 


I nstitutions in the fields of care and welfare 
face the complicated task of responding 
appropriately to the social developments 
outlined above. The Netherlands has a long 
tradition of care and welfare facilities that 
have their origins in private initiative, but are 
largely financed by government subsidies. The 
conditions set by the government for these 
subsidies have changed significantly over the 
past decades. The budgets have been limited, 
the subsidy conditions have become more 
business-oriented and the actual results weigh 
more heavily than before. For reasons of 
efficiency, many institutions have meanwhile 
merged. As a result, most of the 400,000 
professionals in this sector have been through 
a number of disrupted and uncertain years. 
And, of course, the volunteers and family 
carers have also felt the impact of all the 
reorganizations in this sector. The NIZW tries 
to be a source of information, innovation and 
support for all these parties. 

In the Netherlands, there was a need for a 
strong combination of research, method 
development and implementation. Therefore 
the government decided towards the end of 
the eighties that an independent national 
body was necessary, to work towards quality 
improvement in the care and welfare sector. 
That body was the Netherlands Institute of 
Care and Welfare (NIZW), which has 
meanwhile developed into an organization 
with over three hundred employees and an 
annual turnover of about 20.4 million Euro. 
The care and welfare sector certainly has no 
reason to complain about a lack of interest' 
confirms NIZW Director Peter van Lieshout. 




From an international viewpoint, the NIZW is 
fairly unique. It is not a government body 
but receives a subsidy from the Ministry of 
Health, Welfare and Sport. Furthermore, the 
institute carries out assignments for other 
ministries and organizations in the non- 
profit sector. The NIZW is an independent 
institute and does not act as an interest 
group on the national level. Paid staff, 
patients and client organizations, and 
employers in the Netherlands all have their 
own interest groups for this purpose. 

The work of the NIZW is carried out in close 
consultation and intensive cooperation with 
the government on the one hand and with 
interest groups, research institutions and 
universities and organizations carrying out 
the work on the other. This is a typical 


example of the Dutch consensus culture: 
only after everyone has consulted with 
everyone else do new initiatives get the 
green light, as well as money and the policy 
freedom to prove their worth. 

NIZW staff are actively involved in 
international discussions on various topics. 

The NIZW in figures 

Size of staff: approximately 350 employees, of 
whom about 250 in permanent employment and 
about 100 on a project basis 
Budget : 20.4 million Euro, of which about 50% is 
structural and about 50% is from project subsidies 
and own income 

Main financing sources : Ministry of Health, Welfare 
and Sport; Ministry of Justice; Ministry of the 
Interior; private funds in the field of care and welfare 
Legal form: independent foundation 



The work of the NIZW is a combination of 
research, development and implementation 
that makes it possible to support innovations 
and improvements in the field of work, from 
start to finish. NIZW's expertise is expressed 
primarily in programmes of a temporary 
nature, which last an average of five years. 
With regard to the direct transfer of 
knowledge on specific topics, the NIZW has a 
number of information and expertise centres 
that professionals and volunteers can 
address with practical questions. Moreover, 
the NIZW ensures the broader dissemination 
of knowledge and experience in the form of 
practical products such as workbooks, 
manuals, congresses, training, videos and 
CD-ROMS. With a view to cohesive content, 
the programmes are grouped into five 
different categories, or clusters: 

° Care and nursing 
° Organization of care 
° Youth care and welfare 

Care and nursing 


ow are the activities of professional 
nurses and carers related to each 
other and to the work of volunteers 
and family carers? This is the major question 
in the Dutch care sector at the moment. The 
Care and nursing cluster is involved 
intensively with this question and is 
developing innovative answers, together 
with the professionals. 


Home care 

Thanks to prosperity and progress in the 
medical sector, people live longer than ever 
before, even when they have chronic 
diseases. This creates a greater demand for 
nursing and care, but also for a targeted and 
cost-effective approach. Professional nursing 
has shifted almost entirely to the hospitals 
and nursing homes in recent years, while the 
care sector has had to cover the entire 
remaining area. Combined with the fact that 

and are setting higher requirements to the 
provision of external help, this places 
tremendous pressure on the Dutch care 
sector. Moreover, many home care 
institutions have to work with very tight 

NIZW staff are closely involved in discussions 
on the future of the nursing and care 
professions. Their contribution is based on 
their own practical experience. This has 
resulted recently in the development of new 
work models for perception-oriented care in 
one of the Dutch home care regions. These 
are methods of working in the home care 
sector that do justice both to the needs of 
the patient and the possibilities of the 
professional caregiver. From these models, 
the essential organizational conditions for 
home care can be derived, and then 
presented to the management of the 
institution concerned. 

An important element in the work of 
nursing and care staff on which the NIZW is 
focusing attention is that of the psychosocial 
problems experienced mainly by the 
chronically ill, and by parents of chronically 
ill children. These problems are often 
underestimated in the Netherlands. A 
number of hospitals and home care 
organizations are taking part in testing a 
multi-stage plan that professionals can use 
to determine whether, and when, they need 
to take action with regard to psychosocial 
problems of their clients. 

A third innovatory initiative in the area of 
nursing and care is the experiment 
concerning the transfer of nursing home 
care. This means that district nurses ensure 
that nursing home doctors, occupational 
therapists and other nursing home staff visit 


people in their homes, so that admission can 
be postponed. 


Family care 

Within the field of nursing and care, the 
NIZW also focuses on partners, friends, 
parents, brothers, sisters and children who 
take on the greater proportion of the task of 
caring for the long-term or severely ill. In the 
Netherlands these total about a million people. 
At the policy level, the NIZW is working on 
strengthening the position of family carers by 
drawing attention to the role they play in the 
care process and to their need for more of a 
say, for recognition and support, not only by 
other family members, paid staff and patient 
organizations, but also by government 
bodies and welfare organizations. For this 
reason political discussions, for example 
about the introduction of respite care-leave, 
are being closely followed, and fuelled. In 
this context, the NIZW has carried out an 
international study on the ways in which 
family carers in various European countries 
are supported. This study has been adapted 
for home care organizations into a broadly 
based vision on the support of family carers. 
The Family care programme has an 
innovative function for various target groups. 
After various projects concerned with older 
family carers, the project that was specifically 
aimed at better support for parents of 
chronically ill children is now also beginning 
to bear fruit. This places the focus, among 
other things, on enhancing the skills of 
paediatricians, family doctors and nurses. A 
new target group that will receive attention 
consists of children and young people who 
are growing up in a family with a parent, 
brother or sister who has a long-term illness. 



The Netherlands has always had a large 
number of people who volunteer their 
services in the field of care and welfare. 

There are 690,000 volunteers working in the 
health care sector, 805,000 in the social care 
services, and 78,000 in sociocultural work. In 
recent years, the NIZW has witnessed a 
distinct change in the way volunteers want 
to be involved in this unpaid work. They 
work less often for charitable motives, are 
no longer so quick to form long-term ties 
with one organization, and choose more 
deliberately for activities that also give them 
some form of satisfaction. The NIZW 
considers it its task to give volunteers a clear 
position in the sector to make institutions 
that are dependent on volunteers more 
aware of the need to maintain a good 
volunteer policy. 

One development requiring considerable 
attention is that organizations are 
constantly setting higher requirements to 
professionalism of volunteers. This 
phenomenon is found mainly in terminal 
care, in support for ex-psychiatric patients, in 
bereavement counselling and in victim 
support. This may result in tension between 
supply and demand and in confrontations 
between volunteers and professionals. 
Furthermore, the increasing obligations are 
often directly opposed to the need of 
volunteers to retain a certain degree of 

Based on research, the NIZW is helping 
institutions with the formulation of a 
balanced volunteer policy . Not only in 
welfare work, but also in nursing and 
residential homes where there are increasing 


numbers of volunteers. The NIZW offers 
institutions and volunteers concrete aids 
such as checklists for recruitment and 
selection, which allow both parties to clearly 
state their expectations and conditions. 

In order to enhance the expertise of 
volunteers in specific sectors, various 
training programmes have been developed, 
among others in the field of bereavement 
counselling and of home visits aimed at 
stimulating interest in participation. 

Especially for volunteers who work with 
older people and who are involved in 
matters concerned with giving meaning to 
life, the NIZW is working on material for 
detecting any underlying mental problems 
of the elderly. 


Organization of care 

^he care of the disabled, the 

chronically ill and the elderly in the 
Netherlands is slowly but surely 

undergoing an enormous change. The 
government's aim is no longer to remove 
people who are dependent on care from 
their own environment, but to promote 
integration in their own environment and to 
bring the care to them as much as possible. 
The goal is for people to live as 
independently as possible and to participate 
as much as possible in local activities: in 
ordinary schools, in regular jobs, while 
retaining their own sense of empowerment. 
In other words, the emphasis is shifting from 
people's limitations to their abilities. It goes 
without saying that patient and client 
organizations fully support these 
developments towards greater autonomy, 
although they are still on their guard for 
cutbacks in disguise. 



The NIZW staff support the large-scale 
operation that is necessary to realize these 
ideals. Forty residential institutions are on 
the verge of starting experimental forms of 
community care, where their clients will be 
able to live as much as possible in ordinary 
neighbourhoods. In order to provide support 
at home for families with a disabled child, 
professionals are working together with the 
parents towards customized services in the 
care sector. Under the new conditions, nurses 
have an important role in supporting parents 
by giving timely warning of somatic and 
psychosocial problems and by providing 
O ance. 

For people with a disability or chronic illness 
who want to return to the labour market, 
the NIZW is working on setting up social 
companies that can offer regular work but 
also pay more attention to the employee's 
abilities and needs. In four regions, 
experiments are being set up - specifically for 
young people with a disability - in which the 
transition from school to work plays a key 
role, but which also search for other forms of 
meaningful daytime occupation when a 
regular job is not an option. 


Home care 

Also for those people who start to 
experience physical difficulties at a later age, 
care will be organized as much as possible 
around their own home in the future. 

Where, earlier, people sought out the care, 
the care now seeks out the people. This, 
however, requires a number of affordable 
adaptations in the home such as alarm 
systems and the extension of services such as 
meals on wheels and help with odd jobs 
around the house. Moreover, it also requires 
a social infrastructure so that people can 
keep up contacts and spend their time 
satisfactorily. The NIZW provides stimulation 
in the form of experiments in which older 
people in the neighbourhood are actively 
involved, for example as a 'reading-helper' 
in schools. * 

By actively encouraging a local care policy, 
local municipalities play an important role in 
building up care networks around the ill, the 
old and the disabled. The NIZW works 
together with local municipalities on ways of 
setting up such networks, for example where 
large, new housing developments are being 
located near Utrecht and Amsterdam. 

Youth care and welfare 

3 he NI2W also initiates innovations in 
the sectors of care and welfare for 
children and young people. In this 
area, the role of parents, other family 
members, neighbours, teachers, community 
workers and associations is slowly but surely 
changing. The need for child day care and 
out-of-school care has increased 
considerably. In order to meet this need, 
institutions are developing new forms of 

pre-school and out-of-school care. 

There is a greatly increased focus on 
preventing behavioural and developmental 
problems among children and young people, 
and this has led to new initiatives in the field 
of parenting support and developmental 
stimulation, prevention of juvenile crime 
and child abuse. 

With a view to preventing drop-out among 
children and young people, the policy is 
aimed at providing help as quickly, as 
unintrusively, as briefly and as close to home 
as possible. This includes, among other 
things, new ways of intervening quickly and 
effectively in upbringing situations and so 
avoiding, as far as possible, the need to 
remove the child from its home. 

Where it is necessary, however, to place 
children and young people in foster homes 
and residential facilities, plans are underway 
for a more flexible and cohesive system of 
ambulant and residential facilities. 


Basic provision 

As in other European countries, the 
Netherlands pays considerable attention to 
extending innovative child day care and out- 

of-school care. Staff at the NIZW are, for 
instance, supervising sixteen pilot projects of 
the so-called SPEELproject (play project) that 
is aimed at improving the quality of day 

Under the title of the extended schoolday, 
recent experiments have been offering a 
programme in which children and young 
people are introduced after school to 
activities in the fields of sport, technology, 
art and culture, as a matter of course. The 
underlying aim is to eliminate any 
disadvantages that children may have where 
the home environment does not provide 
these activities. 

The NIZW also supports collaboration 
between institutions in the fields of care, 
welfare and education within the 
framework of the extended school, a 
multifunctional facility in the 
neighbourhood. In order to give new 
impetus to the care of young people, the 
NIZW supervises experimental out-of-school 
daycare and teenager programmes in a 
number of municipalities. 


Prevention and early intervention 

The NIZW has an extensive programme 
aimed at supporting families with children 

who run an increased risk of developmental 
problems. By developing and introducing 
courses such as Raising Children and Hanen, 
that are aimed at improving the 
communication between parents and young 
children, the NIZW is trying to contribute 
towards preventive measures. Other 
methods for supporting parents are Home 
Start, a form of volunteer home help for 
families with young children who are in 
stressful circumstances, and Mothers Inform 
Mothers, where first-time mothers are given 
the opportunity - besides the existing Parent 
and Child programme - to learn from 
experienced mothers. Other projects are 
specifically aimed at preventing children 
who are showing signs of difficult behaviour 
at an early age from, slipping into crime. 

As it is impossible to draw a clear-cut line 
between prevention and curative care, the 
NIZW is also working on methods that can 
be applied in both cases. This frequently 
involves intensive and short-term 
programmes that are carried out in the 
families' homes, such as Families First, which 
offers an alternative to placement of a child 
away from home. The specific knowledge 
and information in the area of child abuse is 
concentrated in the Child Abuse Information 
Centre. This centre also works on prevention 
by developing training and information 
materials for schools and childcare facilities. 
The NIZW also houses the National Child 
Abuse Reporting Centre, which plays a key 
role in the network of Child Abuse Advice 
and Reporting Centres. 

In order to bring more cohesion into the 
various forms of care (support, prevention 
and treatment), the NIZW develops 
integrated social and educational 

approaches at the neighbourhood level, 
whereby positive, supportive and protective 
powers are also activated in the immediate 
environment of children and young people. 


Curative youth care 

In the curative sector, the NIZW is working 
mainly on developing an intensive, 
ambulant approach that prevents placement 
in a residential institution, or facilitates 
reintegration into society. A recent example 
of this is the development of Departure 
Training that prepares young people for an 
independent life outside residential care. 

The training aims at developing a personal 
network and increasing the social 
competence of the young people concerned. 


Directing Youth Care 

Staff atthe NIZW play an important role in 
the reorganization the Dutch government 
has titled Directing Youth Care . This 
operation is necessary in order to create 
more harmony, order and clarity in the maze 
of facilities and regulations in the over- 
organized Dutch system. Until recently, that 
system consisted of three clearly divided 
sectors - the legal protection of children, the 
mental welfare of children and youth, and 
the child and youth care sector. The absence 
of mutual cooperation and harmonization 
between these three sectors is largely due to 
the fact that they fall under the 
responsibility of different departments, 
namely Justice, and Health, Welfare and 

Besides the abolition of this 
compartalization, the Directing Youth Care 
programme is also meant to create a strong 
system of general, preventive and curative 


Social policy 


In order to promote harmony and 
cooperation between the various facilities, 
to make the supply more easily accessible, to 
streamline the financing, and to attune the 
aid more closely to the need, regional 
Childcare Services have been set up in recent 
years. These form a single registration desk, 
behind which institutions jointly determine 
the assistance needed and decide on the 
most appropriate way of providing it. 

The NIZW supports the Childcare Services in 
ascertaining the individual needs of their 
clients and in setting up the care supply 
accordingly. Within the framework of this 
so-called mixed economy of care, 
experiments are being set up to develop 
specific programmes for various target 


Social policy in the Netherlands has received 
a new impulse in recent years. Because of 
governmental decentralization, there was a 
need for local government to work in new 
ways towards more cohesion between the 
local residents and the facilities in their 
immediate environment. Terms such as social 
integration and social cohesion reflect the 
need for new social links and the concern 
about the lack of contact between local 
municipalities, facilities and citizens. While 
at first sight it seems to consist of familiar 
themes and matters relating to building up 
the community, the various managerial 
relationships involved have changed 
considerably. Whereas before the local 
residents had to demand the right to express 
their view with the support of community 
development workers, today the local 
authorities themselves take the initiative in 
involving the community in changes to their 
environment. Of course, this has to do with 
the need to create public support for local 
decision-making and implementation. 

An important new fact that local social 
policy must take into account is the 
multicultural nature of many districts. The 
districts that cause the most concern are 
those where contact between the various 
social communities is minimal, where the 
level of facilities is the least satisfactory and 
unemployment is relatively high. Recent 
research by the Central Bureau for Statistics 
has shown that people from Turkey, 

Morocco, Surinam and the Netherlands 
Antilles living in the Netherlands benefit 
proportionally less from economic growth 

than Dutch people and are barely able to □ 

overcome their educational deprivation. Participation 

Against this background, fear of tensions 
and conflict, especially among the young, is 


Tools and projects 

The NIZW is developing social policy tools 
with which municipalities and institutions 
can map the broad outlines of district and 
neighbourhood social structures. Those can 
then be used for evaluation and as a basis 
for decisions on the methods and means to 
be applied. 

Furthermore, in a number of pilot projects 
spread over various cities, the NIZW also 
works on a new approach to the quality of 
life in local neighbourhoods. These projects 
are being carried out under the title The 
Whole Neighbourhood and the objective is 
to involve the local residents more closely in 
decisions and plans of local bodies to 
improve their living environment. The 
projects are intended to provide usable tools 
and methods around four themes: the 
community-friendly neighbourhood, the 
learning neighbourhood, the healthy 
neighbourhood and the working 

The NORMA project was set up to cope 
with young people who attract attention in 
a negative sense, and is specifically for youth 
workers who want to tackle trouble*and 
violence in the neighbourhood. This project 
links up with other new methods that are 
being introduced by the NIZW in the 


In order to encourage the participation of 
residents who have been unemployed for a 
longer period, the NIZW is hoping to start 
experiments with neighbourhood-targeted 
social activation. Moreover, a separate 
programme will also deal with participation 
in the workforce. 

The participation of the older generation is 
high on the agenda. Now that older people 
live longer and remain independent for as 
long as possible, institutions in the 
neighbourhood must involve them when 
implementing various facilities. This is 
certainly true for older black and minority 
ethnic people who plan to stay in the 
Netherlands. The NIZW has started an 
experiment, commissioned by a private 
welfare fund, intended to give community 
centres and neighbourhood facilities for the 
elderly a more multicultural character. 

Social policy is not something that applies 
exclusively to cities. Radical demographic 
changes are also observed in rural areas. In 
order to support those local authorities, the 
NIZW is starting a project for rural 

Information and 

B esides these four thematic clusters, 
the NIZW also houses four centres 
that provide information and 
organization services in the care and welfare 
sectors. These centres all function under the 
name of information and infrastructure , and 
each has its own specific field of interest. 

The Centre for Social Information focuses 
primarily on providing information to 
everyone with questions pertaining to his or 
her own situation. These could relate to 
social law and regulations, but also to illness, 
or disabilities. The centre has a special 
telephone helpline to answer such questions 
The centre also has specialized editors who 
concentrate on recording the information 
and reproducing it in various publications 
and CD-ROMS. A further important task of 
the centre is to provide tailor-made public 
information to institutions such as hospitals. 

The Sector Information Centre focuses on 
providing information about developments 
in the c are and welfare sector. That 
information could vary from statistical data 
on trends, results and numbers of employees 
to overviews of new projects in a specific 
area. The editors at this centre compile and 
publish information and maintain databases. 
Part of the centre is involved specifically with 
the introduction and improvement of 
information technology, which furthers the 
exchange of information between 

institutions and organizations. 

The Centre for Professional and Educational 
Matters recently has been closely involved in 
improving the harmonization between 
education and the employment market in 
the care and welfare sectors. In consultation 
with employees' and employers' 
organizations, a model has been developed 
in which all jobs have been included and 
reduced from 600 to a total of 250. Based on 
the new job profiles developed by the 
centre, professional training programmes 
can be better tuned to actual practice. 
Among the things being tackled by the 
Centre for Professional and Educational 
Matters is also the development of models 
for job rotation developing tools to reduce 
work pressure. In an international context, 
the centre advises, for example, on job 
profiles in the social sector in Central and 
Eastern Europe. 

The International Centre arranges for the 
international exchange of information and 
expertise. The staff of the International Help 
Desk provide both verbal and written or 
electronic information about the 
Netherlands - not only in the field of care 
and welfare, but also in the area of national 
health - to colleagues abroad and other 
interested parties. They, in turn, also provide 
information on developments abroad to 
Dutch professionals and interested parties. 
An important task of the International 
Centre is to look for partners abroad, and to 
build up international networks. The aim is 
to create links on themes and problems that 
are topical in different countries. An 
essential part of this is the exchange of 
experience and data. In this way. 

international contacts can lead to new 
initiatives and methods. 

The centre is also involved in setting up 
concrete projects whereby Dutch expertise is 
applied abroad. Up to now, these projects 
have been mainly in Central and Eastern 


Publishing department 

The NIZW has its own publishing department 
that publishes the products of the 
programmes and centres in the form of 
research reports, workbooks, manuals, 

almanacs, video tapes and CD-ROMS. All 
these materials are written in Dutch, with 
the exception of the work materials for 
black and minority ethnic target groups. A 
number of English-language products are 
also available, especially reports of 
international research projects. There is a list 
available of products that have been 
published in other languages. The NIZW 
publishing department welcomes foreign 
publishers who are interested in translating 
its Dutch-language products. 

The NIZW also attempts to ensure the 
implementation of its body of ideas in other 
ways. For example, besides having its own 
Education and Training department, it also 
has its own Course and Conference Bureau, 
which organizes, amongst other things, 
international conferences in the 



Telephone numbers and 
e-mail addresses 



Catharijnesingel 47 
P.O. Box 19152 
3501 DD Utrecht 
The Netherlands 
Telephone: +31 30 230 6311 
Fax: +31 30 231 9641 


International Centre 

Telephone: +31 30 230 6333 
Fax: +31 30 230 6540 


Information Telephone Line 

Telephone: +31 30 230 6306 
Fax: +31 30 230 6540 


Publishing Department/sales 

Telephone: +31 30 230 6604/607 
Fax: +31 30 230 6491 


Course and Conference Bureau 

Telephone: +31 30 230 6398 
Fax: +31 30 230 6491 


© 1999 Netherlands Institute of Care and 
Welfare /NIZW 

Design: Zeno 

Photos: Ingrid van Beek (p. 2,3), 

Marcel Minnee (p. 5, 6, 8, 10, 12), 

Gerard Wessel / Hollandse Hoogte (p. 1, 16) 


U.S. Department of Education 

Office of Educational Research and Improvement (OERI) 
National Library of Education (NLE) 
Educational Resources Information Center (ERIC) 


Reproduction Basis 

This document is covered by a signed "Reproduction Release 
(Blanket)" form (on file within the ERIC system), encompassing all 
or classes of documents from its source organization and, therefore, 
does not require a "Specific Document" Release form. 

This document is Federally-funded, or carries its own permission to 
reproduce, or is otherwise in the public domain and, therefore, may 
be reproduced by ERIC without a signed Reproduction Release form 
(either "Specific Document" or "Blanket"). 

EFF-089 (3/2000) 

PS 0 28 4S2